Name | Description | Type | Constraints |
---|

HCPCS_Code | HCPCS, The Healthcare Common Procedure Coding System, includes All current year active CPT and alpha-numeric codes subject to the Clinical Laboratory Fee Schedule. | string | required : 1 |

Description_of_HCPCS_Code | Short description of HCPCS Code | string | required : 1 |

Is_QW_Modifier | Where modifier is shown, QW denotes a CLIA waiver test. The QW modifier states that the tests you are performing are "simple laboratory examinations and procedures that have an insignificant risk of an erroneous result". They are considered "CLIA waived" and therefore require a "CLIA Certificate of Waiver". | boolean | - |

National_Limitation_Amount | 60% National Limitation Amount is set at 74% of the 2016 median. The 62% NLA is calculated using the following algorithm: ((60% NLA / 0.60) * 0.62). If the floor is applicable, then the NLA is appropriately adjusted. | number | level : Ratio |

Mid_Point_of_Base_Fee_Amounts | 60% Median (2016) - Median of the 2016 60% Updated Base Fee Amounts from all Medicare Part B Carriers. | number | level : Ratio |

Payment_Floor | 60% Floor (2016) - BBRA of 1999 requires a payment floor for all Pap Smears; the 62% floor equals the 60% floor. | number | level : Ratio |

Northern_California | 60% Pricing Amount in the state of Northern California | number | level : Ratio |

Southern_California_Occidental | 60% Pricing Amount in the state of Southern California Occidental | number | level : Ratio |

Hawaii | 60% Pricing Amount in the state of Hawaii | number | level : Ratio |

Nevada | 60% Pricing Amount in the state of Nevada | number | level : Ratio |

Alaska | 60% Pricing Amount in the state of Alaska | number | level : Ratio |

Idaho | 60% Pricing Amount in the state of Idaho | number | level : Ratio |

Oregon | 60% Pricing Amount in the state of Oregon | number | level : Ratio |

Washington_State | 60% Pricing Amount in the state of Washington State | number | level : Ratio |

Arizona | 60% Pricing Amount in the state of Arizona | number | level : Ratio |

Montana | 60% Pricing Amount in the state of Montana | number | level : Ratio |

North_Dakota | 60% Pricing Amount in the state of North Dakota | number | level : Ratio |

South_Dakota | 60% Pricing Amount in the state of South Dakota | number | level : Ratio |

Utah | 60% Pricing Amount in the state of Utah | number | level : Ratio |

Wyoming | 60% Pricing Amount in the state of Wyoming | number | level : Ratio |

Colorado | 60% Pricing Amount in the state of Colorado | number | level : Ratio |

New_Mexico | 60% Pricing Amount in the state of New Mexico | number | level : Ratio |

Oklahoma | 60% Pricing Amount in the state of Oklahoma | number | level : Ratio |

Texas | 60% Pricing Amount in the state of Texas | number | level : Ratio |

Iowa | 60% Pricing Amount in the state of Iowa | number | level : Ratio |

Kansas_I | 60% Pricing Amount in the state of Kansas_I | number | level : Ratio |

Kansas_II | 60% Pricing Amount in the state of Kansas_II | number | level : Ratio |

Missouri | 60% Pricing Amount in the state of Missouri | number | level : Ratio |

Missouri_General_Amer | 60% Pricing Amount in the state of Missouri General Amer | number | level : Ratio |

Nebraska | 60% Pricing Amount in the state of Nebraska | number | level : Ratio |

Illinois | 60% Pricing Amount in the state of Illinois | number | level : Ratio |

Minnesota | 60% Pricing Amount in the state of Minnesota | number | level : Ratio |

Wisconsin | 60% Pricing Amount in the state of Wisconsin | number | level : Ratio |

Arkansas | 60% Pricing Amount in the state of Arkansas | number | level : Ratio |

Louisiana | 60% Pricing Amount in the state of Louisiana | number | level : Ratio |

Mississippi | 60% Pricing Amount in the state of Mississippi | number | level : Ratio |

Indiana | 60% Pricing Amount in the state of Indiana | number | level : Ratio |

Michigan | 60% Pricing Amount in the state of Michigan | number | level : Ratio |

Florida | 60% Pricing Amount in the state of Florida | number | level : Ratio |

Puerto_Rico | 60% Pricing Amount in the state of Puerto Rico | number | level : Ratio |

Alabama | 60% Pricing Amount in the state of Alabama | number | level : Ratio |

Georgia | 60% Pricing Amount in the state of Georgia | number | level : Ratio |

Tennessee | 60% Pricing Amount in the state of Tennessee | number | level : Ratio |

South_Carolina | 60% Pricing Amount in the state of South Carolina | number | level : Ratio |

Virginia | 60% Pricing Amount in the state of Virginia | number | level : Ratio |

West_Virginia | 60% Pricing Amount in the state of West Virginia | number | level : Ratio |

North_Carolina | 60% Pricing Amount in the state of North Carolina | number | level : Ratio |

Delaware | 60% Pricing Amount in the state of Delaware | number | level : Ratio |

District_of_Columbia | 60% Pricing Amount in the state of District of Columbia | number | level : Ratio |

Maryland | 60% Pricing Amount in the state of Maryland | number | level : Ratio |

New_Jersey | 60% Pricing Amount in the state of New Jersey | number | level : Ratio |

Pennsylvania | 60% Pricing Amount in the state of Pennsylvania | number | level : Ratio |

Connecticut | 60% Pricing Amount in the state of Connecticut | number | level : Ratio |

Empire_New_York | 60% Pricing Amount in the state of Empire New York | number | level : Ratio |

Western_New_York | 60% Pricing Amount in the state of Western New York | number | level : Ratio |

New_York_GHI | 60% Pricing Amount in the state of New York GHI | number | level : Ratio |

Maine | 60% Pricing Amount in the state of Maine | number | level : Ratio |

Massachusetts | 60% Pricing Amount in the state of Massachusetts | number | level : Ratio |

New_Hampshire | 60% Pricing Amount in the state of New Hampshire | number | level : Ratio |

Rhode_Island | 60% Pricing Amount in the state of Rhode Island | number | level : Ratio |

Vermont | 60% Pricing Amount in the state of Vermont | number | level : Ratio |

Kentucky | 60% Pricing Amount in the state of Kentucky | number | level : Ratio |

Ohio | 60% Pricing Amount in the state of Ohio | number | level : Ratio |